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HomeMy WebLinkAbout1574 CARAWAY DR - Building Permits S 1 CITY OF COSTA MESA A o9 J144- BUILDING DIVISION F � 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 10,41 FOR INSPECTIONS CALL:(714)754-5626 '°^ o PERMIT NUMBER: M10-00096 PERMIT TYPE MECH STATUS: ISSUED APN: 13949223 DATE ISSUED: 10/07/2010 ISSUED BY: RMD JOB ADDRESS: 1574 CARAWAY DR CM Suite/Unit: Vicinity: HALLWAY CLOSET SQ. FT: 0 SCOPE OF WORK: MECHANICAL PERMIT TO CHANGE OUT FAU < 100 K BTU LOCATED IN HALLWAY CLOSET FOR A SFD. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT, OWNER: SUNGAILA, RICHARD JOHN TR Address: 1827 PORT STANHOPE PL Unit: PHONE: 949-466-7378 City/State/Zip: NEWPORT BEACH, CA APPLICANT: ROY,LUSINE Address: Unit: PHONE: 949-702-0584 City/State/zZip: CONTRACTOR: ALICIA AIR CONDITIONING AND HEATING INC License No. 525314 Address: 26824 VISTA TERRACEUnit: PHONE: 949-770-2495 City/State: LAKE FOREST CA ZipCode: 92630 CELL: MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $38.30 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $38.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No,92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE O. INSPECTION TYPE DATE INIIIIAIS CODEC INSPECTION TYPE D�A nn tW�11T LSS 1616 Fixed System Final Fire Prevention 206 Final Mechanical X ID—I° I V M- w- 1266 Pool Spa Final 208 Final Plumbing _ 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy _ . a WORKErRS"CONRPENSATION DECLARATION: Owner ID verified by driver s lic e. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: ' Driver's License No. Expires: 0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the . perfor nce of the work for which this permit is issued. I have and will maintain workers'compensation insurance, as required by • section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: /1 C person is required to descend,will be made in connection with work authorized F / �) VIZ 1 by this permit,and that no building structure,scaffolding,falsework,or demolition CarrCam e? l/ n S or dismantling thereof,will be more than thirty-six(36)feet high.(Chap. 3.2,Grp (rhe section need not be completed riffle permit is valued at one zhuunndred dollars(3100)or less) 2,Art 2,Sec.341,Title B,Califomia Administrative Code). Polic—yN ber: Ap,O opo -5q 71DA V' 0 As owner-builder, I will not employ anyone to do work which would 0 I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to .r'fir orkers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Co.t ©rrF" orthwit 40' .I .• - hese provisio I s /1 / / ,V-r Division of Industrial Safety Permit Number: Applicant's Signature [ rrrDDDatL. s__.7 HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No L 7 Lic..#—S Class#� C/0 (Section 25533 of the California Health and Safety Code, with some �— / /—a�a/7 // a exceptions, requires registration with the Costa Mesa Fire Department by -�.i � each business which at any one time has on hand a quantity of acutely miracior'rStgnature 1 e, hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes'', attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If. however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and 0. I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city • ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature o nems) Date Signature Date /w1 7/70 305]-46(3/0]) •c ,� , /bdt(� �.. _.Appicaot e Tr _ 1 I Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-ALT-HVAC Climate Zones 1 and 3-7 Site Address: //''�� Enforcement�gency: /J/J Date: Permit#: j 7j ( Ar4[.)el y dynr (osfn I e54' D-7 // Conditioned Duct insulation Equipment Type' List Minimum Efficiency Floor Area requirement Thermostat ❑ Packaged Unit Over 40 ft of ducts nmaceAFUE��'O 0 COP Setback ❑ Indoor Coil ❑SEER 0 HSPF Served by system added or replaced in (/f not already present,must be ❑Condensing Unit 0 EER 0 Resistance ice,e - sf unconditioned space installed) 0 R 6 (CZ 1, 3-5) ❑Other 1. Equipment Type:Choose the equipment being installed;if more than one system,use another CF-I R-ALT-HVAC for each system. 2.Minimum Equipment Efficiencies: 13 SEER,78%AFUE,7.7HSPF for Typical residential systems. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented o t other applicable pplicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency f. .pproval with the permit applicatiti7onn. Name: � k e Signature: Company: r— n� - • e: /9�r� Air / / 4 - 7- 21 Address: 2 4 'Z ll aC r to / r/t c License: ci 5-3, / �j City/State/'Lip: if. J' / �J Phone: y elf 7 '7DCl LZ y I 2008 Residential Compliance Forms March 2010 0:171 n - CITY OF COSTA MESA 44BUILDING DIVISION °rl,�� .. I DEVELOPMENT�rr1� SERVICES DEPARTMENT PER I�Yp NUMBER �a *PERMiT B05-01165 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1574 CARAWAY DR Status: ISSUED Suite: Applied: 07/13/2005 Vicinity: HOUSE ROOF Issued: 07/13/2005 Primary Occ: R3 Type of Construction: V-N Parcel Number: 13949223 Zoning: R3 (���/� Applicant ROBERT LEE WHITNEY ISSUED BY: I�tCy Address: PO BOX 15396 Phone: (949)548-0769 NEWPORT BEACH ,CA Zip: 92659 Owner: SUNGAILA, RICHARD JOHN TR Address 1827 PORT STANHOPE PL Phone: NEWPORT BEACH,CA Zip: 92660 Contractor: WHITNEY ROOFING Address: PO BOX 15396 Phone: (949)548-0769 NEWPORT BEACH ,CA Zip: 92659 License: 406022 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING COMP SHINGLES AND REROOF WITH COMP SHINGLES ON HOUSE ONLY.REPAIR AND REPLACE SHEATHING AS NEEDED. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $9,795.00 Permit: $181.25 Claim Valuation: $9,795.00 SMIP Res: $0.98 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $182.23 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0.0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0.0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorizes by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646(&00) DECLARATIONS fl WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the .work for which this permit Is Issued. { ❑r,,I$Ehave and will maintain workers'com sation Insurance,as required by section 3700 of the bar Code,for the performance of the work for which this permit is issued. My workers'comp s tion Insuran mer and policy number are: Cartier: ' writ �rn -(This section need not com let d it aPdOcy Number: "�^y ,� p permit 1s valued et one hundred•• �� . 00)or =5s.) ��---�"- ❑ I certify that in the performance of the work for whicr •ermit is -hal of employ any person in any manner so as to become subject to the workers' compensation laws of Califomia,and agree th. should be . -...t t• e workers'compensation provisions of Section 3700 1 the Labor Code,I shall forthwith comply with these provisions. Applicant:Signat e: Z16 WARNING."FAICURE TO SECURE WORKERS'COMPENSATI• COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO-CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE••c' OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR C0DE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Cha (comm cing with Section 7000)of Division 3 of the Business and Prof ions Codec nd my license is in full farce at d-effect Lit. •F0G•'7 2-- Class If Contrac"'"torisiSl gnatre l'> J CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHO: a. ON • NTR :I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state I: and city• •Inances dating to building construction,and authorize representatives of the City• Costa Mesa to enter upon the above-described property for ins•: purposes. •gree not t• •• upy or allow occupancy of any building authorized by this permit until fi•.I inspection. Sign- /W DaF4110. u'A;•V'•r-. "dh- Applicant--- U ate— ;ODE• lNEPECTION TYPE VALE INTrIALs CODES INSPEc'rCNTYPE PAIS MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof ! ` 8? 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Bulldlng/Occupancy ADDRESSOFBUILMNG: 1574 CARAWAY DR UNIT: A CITY OF COSTA MESA - BUILDING PERMIT ONNERS NAME IF KNOWN: SUNGALIA, JANE PERM NO: M 07546E ADDRESS: 1574 CARAWAY DR UNIT A PERMIT NO: M 075466 PLAN CHECK NO: N GOVT: N SUPP: N • COSTA MESA, CA 760-0947 APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: OTH ARCHITECT ORENtlNEER: UC.NO.: JOB DESCRIPTION : CHANGEOUT OF F.A.U. SQ FT: ARCH.OR ENG.'S ADDRESS: UHT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-1 / CONmACTOITSNAME: ALLIED PLUMBING HTG & A/C ( 714 ) 630-1003 CONTRACTORSMMUNG 1648 SIERRA MADRE: COMMENTS: CHANGE OUT EXISTING FAU • ADDRESS: PLACENTIA CA uc.No.: 610780 +UIE* ' '+t *:r *+A'x3cBHx+tsE+E* '***********+t*****+ter'xBL**** :E+r+(It**at+cx':r****+r+U>E*+l' *+tB('it*'+a '+r*+e+f'* 92670 UHT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty ci perjury that I em licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect. • CITY LIC.NO.: 026609 LIC.CLASS: C-20 uc.NO.: 6107, 0 EXP: 04 /96 MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN • FRNT: FT IN REAR: FT IN Dale, /a-V- 9,f Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any sty or county whist requires a permit to construct,atter,improve, PARKING REQ: PROV: PARCEL: 13949223 Z NE: REF NO: demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business end Professions Code]or that he or she is exempt therefrom and the base for the alleged exemption.Any violation of Section > 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not MOM than five hundred dollars[9500]). *****!E*************************************1f********************SF************** ❑ I.as owner of the properly or my employees with wages as their Dole compensation,will do the work,and the structure is not intended D E V E •L O P •M E N T SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License law does not apply to an owner of property who buids or improves thereon.and who does such work Iimsef or herself or through his or her own empoyee.,provided that such improvements are not intended or offered for sale.If.however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). O k as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business end ' Professions Code:The Contractors License Law does not epgy to an owner of property who builds or improve.thereon and who II APPROVED B Y / DATE: ff ���111 contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law).m /�y�f ❑ lamexemptunderSgon: B.AP.C..forthisreason: APPLICATION ISSUED BY: 2 DATE: T J Date: owner: ********************** - _ . . . .********************** LEGALIZATION:N F E E- SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I am aware of and understand the requirements of Caliom'm Health and Safety Code Sections 25505.25533,and 25536,and ihellor any future building occupant win/wit anagen one)need to comply ism said state codes and requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING e permit for that tuctian a modification from the Airy.eregemenl District Residential cmxrudithe exempt from these pron81Ons. PERMIT , 9 .00 Date: Applicant: 2 5% SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE FEE 15 .00 -❑ I have and will maintain a cedifieme of consent to self.insure for workers'compensation,as provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the performance of the work for which this permit is issued. ci I have and will maintain workers-compensation insurance.as required by Section 3700 of the Labor Codeonceo Icy TOTALS----> 9 . 00 15 .00 0 . 00 24 . 00 24 . 00 . 00 work for which this permit is issued.My workers'compensation insurance canter end policy number are: Carrier GOLDEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 24 . 00 OVER/SHORT: . 00 Policy Number: NWC 11h74401 06/28/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed if the permit is for one hundred dollars(Stool or kiss.) 24 . 00 o I certify drat in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become steeled to the workers'compensation taws o California. and agree that L I shmo become subject to the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply ww'ntthose pro �vis siions _. INDIVIDUAL F .E E B R E A K D O W N • Dale: /07"lr-9� Applicant: [/lfI /Irl We/`^�J / Warning:Failure to secure workers'compensation coverage b unlawful,end a subject an employs to calm/nal penalties and TYPE QTY D E S C R I P T I O N / UNIT COST • - TOTAL COST civil fines up to one hundred thousand dollars($104000),In addition to the cwt of compeaatIon,damages as provided for In Section 37Osoythe LaborCode,Interest,and arcomsy'sfees, MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm-under penally of perjury that there is a construction lending agency or the END OF FEES •' performance of the work for which this permit is issued(Section 3097,Civ.C). ' LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application end state that the above information is correct.I agree to comply with all my and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly for inspection purposes. CL�lS NS • 01 E: 12/04/9519 TIME 24.00 / r Pnnt Name DATE: 12/04/95 TIME: 15:51 ' ) ! ak Date: /a r/ PI.'Signature of Owner/Agent/Applicant/Contractor (515118 WP) White-Building A Safety:Green-File:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor ADDREnmett LIMO: 1574 CARAWAY DR um A CITY OF COSTA MESA - BUILDING PERMIT RSN)d1EIPKNOWN: SUNGAILA RICHARD JOHN TR PERM NO: P 079590 ADDRESS 1827 PORT STANHOPE PL . siall' NEWPORT BEACH,CA 92660 q p PERMIT NO: P 079590 PLAN CHECK NO: N GOVT: N SUPP : N AP DL.IMAMS ADDRESS: 1 1 - CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER: uc.NO.: JOB DESCRIPTION : C/O DISHWASHER SQ FT: ARCM.OR DC'S ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / cownaOWSNANE: NOCK PLUMBING ( 714 ) 895-1246 CWTRACTOR'SMMUNO 11610 SEABOARD CIR COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDRESS STANTON CA uCND.: 707775 **Bt+tBt*Bt*4*******x* x* ***************Br**********Bk**** **** +tN•+t+EBE***iE****SE****** 90680 WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 d the Business and Professions Code.end my license is n lull force end sited. CITY LIC.No.: 05036 Ic.cuss: C-36 UC.NO.: 707 75 EXP: 02/97 MAIN BUILDING ACCESSORY BUILDING Pc u.'ie� ,` FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN De.: 2.%) C(f Contractor: f �+k� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN nWNER BUILDER D LARATION:I hereby affirm under penalty of perjury that I an exempt from the Connectors license Law for the Jong reasonAny PARKING REQ: PROV: PARCEL: 13949223 ZNE: REF NO: owlish or repel,any structure.prior to its issuance,also requires the applicenl for such permit to file a signed statement that he or she PLANNING NOTES> .a licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the Business end Professions Code]or that he or she S exempt therefrom and the basis for the alleged exemption.Any violation of Section > ' 7031.5 by any applicant for a penan subjects the applicant to a dvi penalty of not more thin five hundred dollars($5OOp. ******************************************************************************* ❑ I,as owner of the properly or my employees with wages as their sole compensrdicri.will do the work.and the structure is nor intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044.Business end ProfessionsCode:The Contras=License Law does not apply loan Owner of property who builds or inprovee thereon,and who does such work tinsel or herself or through he or her own employees,provided Tat hsuch improvements are rt intended a Stated for sale,I,however,the building or inproserneni is sold within one year of compaction.the ZONING APPROVED BY DATE: owner bugds will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.a owner o the propMy,am esduthely contredig with licensed contractors to comnud the project(Sednn 703.Business and BUILDING APPROVED BY : DATE: Professions Code:The Contracts License Law does nor apply to en owner of property who builds or=saves thereon and suit contacts for such projects with a wrtrador(s)licensed pursuant to the Contractors License Law). ❑ Iamexempt wrier Section: B.AP.C.,for this reason: APPLICATION ISSUED BY: .. DATE: ******************************************************************************* DB1er Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I am aware d and understand the requbennesa of California Health end Safety Code Sediora 25.05.25533,and 25514•ed gull pr any future balding occupant will/wil mot(dmle one)need to comply win sod state codes and the requimmeunfr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING e permit toroonefudion or modMcalon from the r y anagemerd Diddd.Residential condnnian eppkiliow re exempt Iron,these PERMIT 8 , 75 provisions. Dine: AppEun: 2 5% SM I P/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under pen dly at perjury one of the following dedratuns: ISSUE FEE 22 . 00 ❑ Wave and vril maintain a certificate of con:molt°sell-insure for workers'compensation.=provided for by Section 3700ot the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for the peddmeroedIle work for which this permit eissued. TOTALS----> 8 . 75 22 .00 0 . 00 30 . 75 30 . 75 . 00 Q I have end wig m®rai workers'compensation insurance.es required by Section 3700 of the .fo Labor Codsr the performs.",of the work for which Iles permitissued.M workers' g roe a �pd°davnumbe re: Canter EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30 . 75 OVER/SHORT: .00 Policy Number. NWL 32113101 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need nor be completed iI the pend is for one hundred dollar(S1001 or lest) 30 . 75 o I eerily that in the performance of the work for whch the panne S issued,I shall not employ any person in any manner so as to become auoad to the compensation laws d California.lland Met a ys�N workrs' ******************************************************************************* cempenalionprowyM of On 3700 of the Labor Code.I shall l /y"dnply`witll Inco pnwovme. INDIVIDUAL F E E BREAKDOWN Data: %//�) 44 APPlium: Warning: hichIllsecure workers compensation coverage la unlawful,and shall subject an errWc.r to criminal penalties and QTY DESCRIPTIO N UNIT COST TOTAL COST clad lines up to one hundred thousand dollars($104000),In addition to the cost of conpruatlo4 damages as provided for In 3action37G5 of to Leber Cow,InternL and attorneys tees. PLU 1 DISHWASHER 8 . 75 8 , 75 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that them is e comructfon wrong pprcy for the END OF FEES Performance of the work for which the permit is Sued(Section 3097.CN.C). LENDER'S NAME LENDER'S ADDRESS: I certify that I have read this application end state that the above nunnation is torted.I agree to comply with all dry end cony ordinances and state laws relating to building condrudvm and hereby authorize representatives of this cit to enter upon the above.mentioned properly . o inspection purposes. RON N•CK 01 00215452-00215452 TOT 30.75. S a. DATE: 09/23/95 TInE: 10:42 e Dale: '' ,/,./3 , Signature of Owner/AgentA • • rector (5151 d5.WP) White-Buildig 8 Safety;Green-Fle:Canary-Appieem:Pink-Revenue:Goldenrod-Assessor i PC tr SPA f CONSTRUCTION AND PLANNING APROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 4 , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - . ! ' T--'3: lectricaI Condjjit-Utility-Undrgrnd. 54, Forms , ^ ''Electrical CondL , "it4Yndrgrnd - 55. Electrical Bonding ' a. - - 5.:Steel Reinforcement 56. Rough Plumbing & Pressure }:Cg„Electrical UFEl3 grnd. r 57. APPROVAL TO COVER-GUNITE c7: ootings 58. Electrical Condu?T-Undrgrnd. , '_4Qc=Foundation " _b. L '� 59. Gas Pipe, 0 Undrgrnd., Test / -ff.:Water Pipe-Undrgrnd.-J, 60. Backwash Line ,15-Trap, 0 Undrgrnd. 10' Structural Floor system 61. APPROVAL-FO-DECK , :-1.1._Property Sewer Line & House Coifnection 62. Backwash & Re_ceptor-F<inel 12.:Sewer Cap - - , 63. Heater & Vent-Final \. 13.'Roof Drains - 64. Plumbing System - Final r _ 14. Rough Plumbing 65. Electrical-Final r 15. Rough Electricth-Crglduit ,' '. 66. Solar System-Final 16. Rough Electric firing -'' 67. Fencing & Acee-s-s-Approval. - L 17. Rough Wiring Sign " ' _ 68. APPROVED F, b:PLASTEF\ING ' 18. Rough Electrical-T Bar Ceiling I 69. POOL/SPA SYSTEMS FINAL, • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.R5ouglt -factory Fireplace -'-j a;- = APF,OVAZ Fkrmit# Y - 21.;Dcr us,inStructu +, _S 5 C H= 70:.UnCetiround Flydro 22. Ducts, Ventijeting_ ; - -• ' r :2 r c- 71.�Prodiu_ct'ip-ing'C'kGas fl Oil . , 23.ttas`fPiper-Rough 8t Test "" - ` i - ""i 72 Underground tush r r .. i. m S z r �^ cf. ,ter .., g ._ x T c'Y a: Sr •• ` ,.,,/ J ~ J• 24. too Framing. Th, -,p * > C e' * 2 n. Undergcnd.Storage Tank ❑Gas 9-Oil > -- 25. Ro Sheathing Pt •` c. * III 9 ; ;61; 7c. 74. Overhead Hydi$-' 26.7-B4c Ceiling (Str}re*ura0 &tilonacoat * ti - a mr ,15. Dry Chemical ? ^ C 1.---; t• Sr. - 27.,Frame and Flashings a t 76. Dry StaffdpipeC -` ' r l Z a. r;C T r M - a1 y: c_�J �. '" _, 28.'latgingl Siding'M c: -e,`r * g �•t.. 73. FIXED 'YSTEM.E4NA'L` c C _ �a: _ _ c, ' 29. Insulation -a,'t- C - -"' > x -' }fig. FIRE PREV. FINAL -r cr C J* 5 id * . ^�= - - 30. Drywallgailing s...y t I ._HEALTH DEPtT-REQUIREMENT 4 -,, 31. Plaster Bi,owrl CoIt * -t • � „„ 79.2-FPNAcL SPECTiON C 32._Electricil4Po4r �ipTer-Final , F , * j m 8Q. FOOD CERTIFIATE ISSUED 33.d£in&T Electric '= s ' r 7 : 'r rr: FiFptes: - '. S . 34.;fin Heating& , 'CCrlditioni&ng`s.. i i; ` _ - 5a1 -9`� riv�LrZrD SIV 35.final-Gas Pipe-Test* - c. v Li. - C C t-+.� .r :* I Ir -7 =.7. e•-• ._ _ 36.'Ficr- oo`dorCanopya.'* p r,.- , * ,^. t I T. L n;j * ^+ 37.ffinai Factory Fir lace S` a i : if* -� !.. a. .,. .' .. .. }. cQ.l 11 ref ::7-{ ;r is', 111 Final.Plumbing g,, re �.: '. =1`�' Y x r. cc T, - S. 39. Water Service-Finals - - _ * 1 C' ..,cr1 t. IS , A v C t: • T 40. Gas Service-Final * , r m S ; tn I , k F o ,;r; ti � 2 - r - ._ 1 •' 41. Solar Domestic-Final - i" •- 1, G _I '* r, - t ,. I t m ^1^. 'r = ,- D `' 42..8ackflow Preventer` -' ° - ..v - _' t S 43. Backflow irrigation z5= r ., r 7:t-- s C Y • xr r c" Y TX4. Landscape iccigatiod Systerrk^ _- .*; -, - a s ur cu -J =G +' ri + K .. -" z r 745.'Sound Attenuations �E-, - t i F F F* C' I-. r+ 7-.:- 'L x ,-. i - .. .. r -ti ri 1-1- r ?Cr G c • r.C.' Y ' •-Z6.H'landicakiRegulatio is = = Ir.- - r-1 47.-FIN'AL STRUCTURE & BUfRDING - k iu S _ i - ._. to # F 48.:FIr(ALPLANNING' r� ' 1 T * r . _49.-Elect#n, c Release to dison - I* E ^ - T. -50._Gas Release to Soutjrern California Gas Co ••• l • ,x F *-C.:-1 ` 2 fi - ;51. CERTIFICATE OF QCCUPANCY s F -- No Date • ADDRES90i BUILDING: 1574 CARAWAY DR WIT' A CITY OF COSTA MESA - BUILDING PERMIT ;wrER'SNa'EIFQCWN: SUNGALIA JANEPERM NO: M 075466 t..' � ADDRESS: 1574 CARAWAY DR UNIT A �+ PERMIT NO: M 075466 PLAN CHECK NO: N GOVT: N SUPP : N :OSTA MESA, CA 760 0947 APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: OTH ARCNAECT ON ENGNEFA: LK.NO.: JOB DESCRIPTION : CHANGEOUT OF F.A. U. SQ FT: ARCM.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALL-VALUE: GROUP OCC: R-1 / CONTRACTOR'S NAME: ALLIED PLUMBING HTG & A/C ( 714 ) 630-1003 CONTRACTOR'SMMUNG 1648 SIERRA MADRE COMMENTS : CHANGE OUT EXISTING FAU ADDRESS: PLACENTIA CA uc.11o.: 610780 *****+t'*'+t'**+('****+t**************+t***+tN******1t**1s******1r***+t-**-K**1t-K*s(-*******x***** 92670 UNT: Z ON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Slim under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)or Division 3 of the Business and Professions Code.and my licensee in lull force and effect CITY LIC.NO.: 026609 LIC.Cuss: C-20 LIG,NO.: 6107 0 _ EXP : 04 /96 MAIN BUILDING ---- ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : F1' IN Dale /a—S'— 9r Contractor: __ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors License Law for the Goering reason(Section 7031.5 Bushes*and Professions Code Any thy or county which requires a perk t000nwd.eller,improve. PARKING REQ: PROV: PARCEL: 13949223 ZNE: REF NO: mola license'd«pursuuanpth em structure.provisions a thes Contractorsissuance,rsL cense Lares w(Chapter (commencingfor g to Sean statement d sion he or shea PLANNING NOTES> Business and Professions Code)or that he or she is exempt therefrom and the base for the alleged exemption.Any violation of Section > 7031.5 by any applicant for a permhwbjed.the applicant to a civil penely of not morelhan fire hundred dollare(S5CD1). ************if*')f**1E********IE****1E*******1E*******iE****IE*3E'IF*********************** ❑ I,es owner of the propend or my employees with wages as their sole compensation,will do the work,and the structure a not intended D E V E L O P M E N T SERVICES R V I C E S R E U I R EMENTS or offered for sale(Section 7044,Businese and Professions Code:The Contractors License Law does not apply to an;owner elpropend Q who Wide or improves thereon,sib who does such work himself or herself or through his cc her own employees.provided that such improvements are not intended or offered for salt If,however,the building or improvement is sold within one year of emaciation. ZONING APPROVED BY DATE: ownerbuilder will have the burden of proving he or she did not build or improve for the;Goma of sale). ❑ I,as owner of the properly,em exdrmwfy contradig with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does nol appy m an owner ofrw p .dy whreo W1,0 builds et Improves Ihen and who BUILDING APPROVED BY : \ DATE: contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). er iZ ��S ❑ I am exempt under Section: B.A P.C..for this reason: APPLICATION ISSUED BY: / / a' DATE: ********************** • * "********************** Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby certify Out I am aware of end undrstsnd the requirements of Callomie Health and Safety Code Sections 25505.25533.and 25534.and Net I or any future building ocagent win/wit not(circle one)need to comply with said mate codes end the requirements for a pemth for oxetnuticn«nwdJwionfrom lheAi3hsClty anagemamDistrict.Residential cwmrwionappimiwsare exempt fmnNese BLDG PMT PLUMBING ELECTRIC MECHANIC , FIRE SMIP/RES GRADING provisions. PERMIT 9 . 00 Dere: Applicant: 25$ SMIP/NON RES • PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perury one of the following declarations: ISSUE FEE 15 . 00' ❑ I have and WI maintain a certificate of consent lo sefignsure for workers'compensation,as provided for by Selion 3700 of tha Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK ' TOTAL PAID DUE Code.for the performance of the work for which this pennb is issued. CIIhaveandwitew maintainworkers'comprationiurr, required bysedon3700oftheLaborCode,forthepere« �o merthe TOTALS > 9 . 00 15 . 00 0 . 00 24 . 00 24 . 00 . 00 t. work for which this permit is issued.My workers'compensation insurance canter and poky number are: Carrier: GnT.DFN FAGT,F EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 24 .00 OVER/SHORT: . 00 Policy Number: POW(' 71 F,944111 06/28 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE • SMIP/TOT GRADING PLAN-CHECK (This section need not be completed I N.peon*is for one hundred dollar.(Heol«Nees) 24 . 00 ❑ I codify that in the performance of the work for which this permit Is Sued,I Mel not employ any person in any manner so as to become subject Io the workers'compensation lawn d California.end agree that E I should become subject to the workers' ***************************************iE*************************************** compensation provisions of Section 3700 of the labor Code,I shall forthwith comply those g.oedons. I N D I V I D U A L F E E B R 'E A K D O W N Date: /a-"I/4 Applicant: e Warning:Failure to secure sorters'compensation coverage Is unlawful,and I subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST chill fines up to one hundred thousand dollars($104000),In addition to the cost of compensation,damages as provided for In Section 9706 of the Labor Code,Interest,and attorney's lees MEC 1 INST FORC-AIR/GRAV FURN <= ' 100 K BTU 9 . 00 9 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury thin there is a construction lending agency for the END OF FEES performance of the work for which the perms is issued(Section 3097,Cb.C). LENDER'S NAME: LENDER'S ADDRESS: • , I certify that I haveread this application and elate that the above infomwion is correct.I agree to comply with all thy end county ordinances and stale Taws raisin to budding emaaudion and hereby authorize representatives of the dry to enter upon the ebove'mentioned property for inspection purposes. _ ./.',4 _ CL E SIMMONS pa ' r ,. . , hl ���0Prim Name Jct i E: _ . . - • __ .)(/) Date: �a-y-9f� 'velure of Owner/AgenuAppFanuContract« (5151-45.WP) White-Building&Safety;Green-Fla Cana -Appl ant;Pink-Revenue;Goldenrod-Assessor �r PO Si SPA CC VSTRUCTION AND PLANNING AfROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector I 1.:Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd- 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ®Final Heating& Air Conditioning titj-vt ,� 0 7 . 35. Final Gas Pipe-Test (_cir -c_ v!'c_ Lia' ' n ,,,,(. 36. Hood or Canopy 1/ir ,', / L .. �T�%�•, 1G��-*- 37. Final Factory Fireplace `114424.1-7 � r 38. Final Plumbing 39. Water Service-Final 5-&1_97 FirvR�1_z�= IJ� 40. Gas Service-Final • 41. Solar Domestic-Final • 42. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No Date 263n7 _ J OCT 31-( 001295* ***210.75 i‘STA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1201 COSTA MESA,CALIFORNIA 92626 . / For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT ��!! BUILDING .uILDING ZaY ' lI For Offk. Us. Only /1 ADDRESS 1574 Caraway Dr. �yi,(� RECEIPT NO, er)!° COSTA MESA, CALIFORNIA e:0:11507 REtED CU - REtED■ ,AaE11:11774, DATE ISSUED oWNER Kat-South Devel. Corp. � �� k-/n�. ADDRESSMAIL 1442 S. Euclid ' ADDRESS / l ( , .r/v/1 . TE ZONEFIRE TYPE V GROUP ///'f CITY Fullerton No71 -89'; / // ARCHITECT TEL APPROVQD�/�! DATQ4tt- v(� OR ENGINEER NO. /f' ZONING // 04.9 ADORES- 20t- 3 I go.:: I- BUEoDnE Allied Constr. Inc. ^9�H� VCONTRACTQR DESDERIPTION \V/0 , f/ 9 / ADDRESS 1442 S . Euclid ., ie Fullerton A.P.NO. CITY NOTE: NO RAVE OVERHANG SHALL BE LESS THAN STATE LIC.NO. 8102641 No 871-8233 EO'TO SIDE.REAR P.L EAVES SIZE NO.OF BLDG, OF LOT 73 X 109.6 I NOW On LOT . (1 ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTINO BLDG. • � 6- (PROM C/L�// SSREET) DETBACN LINE rRoM Gc�.e t /.� -4, /�G^-. FRONT 15 FT. rr. CENTER OP STREETg3 J v " REAR YARD H`� 1'81 I 9 ' R.SID( 7 FT. FT. wog YARQ LEFT RIGHT DESCRIPTION OF WORK L SIDE 9 Fr. FT. NE _ ALTERATION ADDITION REAR / 3 PT. `A FT. W DISTANCE BET. BET.MAIN& REPAIR MOVING p DEMOLISH MAIN BLDGH. ACCESS.SLOGS. BZIiDROOMS 13 STORIES 9 CAU•P•# APPROVED CXTERIOR W .stucco I COVERING Rnrk APPROVED /y DATE �L�---?81-IE COVERING /`-� USE OF BU I LDINS AND WORK TO BE PERFORMED p, BI , 4 unit residence / �/ plus 5 car garage '64-4 6553 SQ.PTt 9/ 6-CALL"? . 7 O N x I HEREBYSTATHAT THE GB JO HAVE CT THIS TOAPPLICATION. THE AMEUOT F SITARHOWN UNDER VALUATION IS FOR ONLY.AND STATE THAT TM[ ABOVE,IS AND STATE AND AGREERE TO COM. PURPOSE OP EFTABLIBNINO A PERMIT FEE ONLY. A PLY WITH ALL CITY ORDINANCES AND LAWS■EDU NO VALUATION BUILDING CONETRurnO C/, PERMITTB SIGNATURE OF — �/ -..1/T�A )7/979/7--- ) �C//y f PERMIT FEE 5 / D. UrG F $ ( ///9/ �' PLAN CHECK S 7n.a5 gG AUTHORIZED AGENT k $ /O • . . c � . . 9 . TOTAL /